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依达拉奉是一种自由基清除剂,在体外和体内均能保护视网膜免受损伤。

Edaravone, a free radical scavenger, protects against retinal damage in vitro and in vivo.

作者信息

Inokuchi Yuta, Imai Shunsuke, Nakajima Yoshimi, Shimazawa Masamitsu, Aihara Makoto, Araie Makoto, Hara Hideaki

机构信息

Department of Biofunctional Evaluation, Molecular Pharmacology, Gifu Pharmaceutical University, Gifu, Japan.

出版信息

J Pharmacol Exp Ther. 2009 May;329(2):687-98. doi: 10.1124/jpet.108.148676. Epub 2009 Feb 6.

DOI:10.1124/jpet.108.148676
PMID:19201991
Abstract

Edaravone (3-methyl-1-phenyl-2-pyrazolin-5-one), a free radical scavenger, is used for the treatment of acute cerebral infarction. In this study, we investigated whether edaravone is neuroprotective against retinal damage. In vitro, we used a radical-scavenging capacity assay using reactive oxygen species-sensitive probes to investigate the effects of edaravone on H(2)O(2), superoxide anion (O(2)*), and hydroxyl radical (*OH) production in a rat retinal ganglion cell line (RGC-5). The effect of edaravone on oxygen-glucose deprivation (OGD)-induced RGC-5 damage was evaluated using a 2-(2-methoxy-4-nitrophenyl)-3-(4-nitrophenyl)-5-(2,4-disulfophenyl)-2H-tetrazolium, monosodium salt assay of cell viability. Edaravone (3-methyl-1-phenyl-2-pyrazolin-5-one) significantly decreased radical generation and reduced the cell death induced by OGD stress. In vivo, retinal damage was induced by intravitreous injection of N-methyl-D-aspartate (NMDA; 5 nmol) and was evaluated by examining ganglion cell layer cell loss, terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL) staining, and the expressions of two oxidant-stress markers [4-hydroxy-2-nonenal (4-HNE) and 8-hydroxy-2-deoxyguanosine (8-OHdG)]. In addition, activations of mitogen-activated protein kinases (MAPKs) [extracellular signal-regulated protein kinases (ERK), c-Jun NH(2)-terminal kinases (JNK), and p38 MAPK], as downstream signal pathways after NMDA receptor activation, were measured using immunoblotting and immunostaining. Edaravone at 5 and 50 nmol intravitreous injection or at 1 and 3 mg/kg i.v. significantly protected against NMDA-induced retinal cell death. At 50 nmol intravitreous injection, it 1) decreased the retinal expressions of TUNEL-positive cells, 4-HNE, and 8-OHdG and 2) reduced the retinal expressions of NMDA-induced phosphorylated JNK and phosphorylated p38 but not that of phosphorylated ERK. These findings suggest that oxidative stress plays a pivotal role in retinal damage and that edaravone may be a candidate for the effective treatment of retinal diseases.

摘要

依达拉奉(3 - 甲基 - 1 - 苯基 - 2 - 吡唑啉 - 5 - 酮)是一种自由基清除剂,用于治疗急性脑梗死。在本研究中,我们调查了依达拉奉对视网膜损伤是否具有神经保护作用。在体外,我们使用活性氧敏感探针进行自由基清除能力测定,以研究依达拉奉对大鼠视网膜神经节细胞系(RGC - 5)中过氧化氢(H₂O₂)、超氧阴离子(O₂⁻)和羟自由基(·OH)生成的影响。使用2 - (2 - 甲氧基 - 4 - 硝基苯基) - 3 - (4 - 硝基苯基) - 5 - (2,4 - 二磺酸苯基) - 2H - 四唑单钠盐细胞活力测定法评估依达拉奉对氧 - 葡萄糖剥夺(OGD)诱导的RGC - 5损伤的作用。依达拉奉(3 - 甲基 - 1 - 苯基 - 2 - 吡唑啉 - 5 - 酮)显著减少自由基生成,并减少OGD应激诱导的细胞死亡。在体内,通过玻璃体内注射N - 甲基 - D - 天冬氨酸(NMDA;5 nmol)诱导视网膜损伤,并通过检查神经节细胞层细胞丢失、末端脱氧核苷酸转移酶dUTP缺口末端标记(TUNEL)染色以及两种氧化应激标志物[4 - 羟基 - 2 - 壬烯醛(4 - HNE)和8 - 羟基 - 2 - 脱氧鸟苷(8 - OHdG)]的表达来评估。此外,使用免疫印迹和免疫染色测量丝裂原活化蛋白激酶(MAPK)[细胞外信号调节蛋白激酶(ERK)、c - Jun氨基末端激酶(JNK)和p38 MAPK]作为NMDA受体激活后的下游信号通路的激活情况。玻璃体内注射5和50 nmol或静脉注射1和3 mg/kg的依达拉奉可显著保护视网膜细胞免受NMDA诱导的死亡。在玻璃体内注射50 nmol时,它1)降低了视网膜中TUNEL阳性细胞、4 - HNE和8 - OHdG的表达,2)降低了视网膜中NMDA诱导的磷酸化JNK和磷酸化p38的表达,但未降低磷酸化ERK的表达。这些发现表明氧化应激在视网膜损伤中起关键作用,并且依达拉奉可能是有效治疗视网膜疾病的候选药物。

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